Provider Demographics
NPI:1962918870
Name:WESTERGREN, REENA (LCPC, CADC)
Entity type:Individual
Prefix:MS
First Name:REENA
Middle Name:
Last Name:WESTERGREN
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11824 SOUTHWEST HWY STE 230
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1085
Mailing Address - Country:US
Mailing Address - Phone:847-493-3650
Mailing Address - Fax:
Practice Address - Street 1:11824 SOUTHWEST HWY STE 230
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1085
Practice Address - Country:US
Practice Address - Phone:847-493-3650
Practice Address - Fax:847-493-3666
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-15
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180012518101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)